This application claims priority from U.S. provisional applications 60/206,420 (filed 5/23/2000), 60/193,191 (filed 3/30/2000), 60/164,907 (filed 11/1999), the contents of which are incorporated herein by reference.
Various publications are cited in this application. The disclosures of these publications in their entireties are hereby incorporated by reference into this application in order to describe in more detail the state of the art to which this invention pertains.
Detailed Description
The present invention discloses a substantially homogeneous (homogeneous) crystalline polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride designated the B polymorph that exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91. The polymorph is further characterized by an X-ray powder diffraction pattern as shown in figure 3.
The present invention discloses a crystalline polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, designated the B polymorph, that exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91, which is substantially free of the polymorph designated the A polymorph. The polymorph is further characterized by an X-ray powder diffraction pattern as shown in figure 3.
The polymorph designated as the B polymorph can be in substantially pure form relative to the a polymorph.
Also disclosed are compositions containing a substantially homogeneous crystalline polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride that exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta of approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91. N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride also exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta as shown in Table 3 or Table 4 below. Also, N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride in the form of the B polymorph may be characterized by the X-ray powder diffraction pattern shown in FIG. 3.
Also disclosed is a composition comprising a crystalline polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, designated the B polymorph, wherein said polymorph exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91, and wherein the weight percentage of the B polymorph relative to the A polymorph is at least 70%. The composition comprises at least 75% by weight, relative to the form a polymorph, of the form B polymorph; at least 80% by weight ofthe polymorph form B; at least 85% by weight of the polymorph form B; at least 90% by weight of the polymorph form B; at least 95% by weight of the polymorph form B; at least 97% by weight of the polymorph form B; at least 98% by weight of the polymorph form B; or at least 99% by weight of the polymorph form B.
The present invention further discloses a process for preparing the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride by recrystallizing N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride in a solvent comprising an alcohol and water.
In the method, the recrystallization may include the steps of:
a) heating and refluxing alcohol, water and N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride to form a solution;
b) cooling the solution to about 65-70 ℃;
c) allowing the solution to settle; and
d) the form B polymorph is precipitated by further cooling the clear solution.
In this process, N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride is prepared by the following steps:
compound of formula 6
With a compound of formula 4
The compound of formula 6 is prepared by reacting the compound of formula 5 under heating in a suspension of an alkali metal and a solvent.
The preparation of the compound of formula 4 is carried out by chlorinating the compound of formula 3.
Also disclosed is a pharmaceutical composition for treating a hyperproliferative disorder in a mammal which consists essentially of a therapeutically effective amount of the polymorph form B and a pharmaceutically acceptable carrier.
The pharmaceutical composition may be suitable for oral administration. It can be made into tablet form.
Also disclosed is a method for treating a hyperproliferative disorder in a mammal comprising administering to said mammal a therapeutically effective amount of the polymorph form B.
The method can be used to treat a cancer selected from the group consisting of brain cancer, squamous cell carcinoma, bladder cancer, gastric cancer, pancreatic cancer, breast cancer, head cancer, neck cancer, esophageal cancer, prostate cancer, colorectal cancer, lung cancer, renal (renal) cancer, renal (kidney) cancer, ovarian cancer, gynecological cancer, and thyroid cancer.
The method can also be used to treat a cancer selected from the group consisting of non-small cell lung cancer (NSCLC), refractory ovarian cancer, head and neck cancer, colorectal cancer, and renal cancer.
In the method, the therapeutically effective amount may be from about 0.001 to about 100mg/kg day, or from about 1 to about 35mg/kg day.
In this method, the therapeutically effective amount may be from about 1 to about 7000 mg/day; from about 5 to about 2500 mg/day; from about 5 to about 200 mg/day; from about 25 to about 200 mg/day.
Also disclosed is a method for treating a hyperproliferative disorder in a mammal comprising administering to said mammal a therapeutically effective amount of the polymorph form B in combination with an antineoplastic agent selected from the group consisting of mitotic inhibitors, alkylating agents, antimetabolites, intercalating antibiotics, growth factor inhibitors, cell cycle inhibitors, enzymes, topoisomerase inhibitors, biological response modifiers, anti-hormones, and anti-androgens.
The present invention still further discloses a method for preparing a composition comprising a substantially homogeneous crystalline polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, designated the B polymorph, that exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91, comprising mixing the crystalline polymorph designated as B with a carrier.
The carrier may be a pharmaceutically acceptable carrier.
Also disclosed is a process for preparing the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, wherein the process comprises the step of recrystallizing N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride in a solvent comprising an alcohol.
In this method, the solvent may further contain water.
In this method, N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride is prepared by reacting a compound of formula 6
Coupling with a compound of
formula 4.
In this process, the compound of formula 6 is prepared by reacting in an alkali metal and a solventBy heating the suspension of (a) to react the compound of formula 5.
In this process, the preparation of the compound of
formula 4 is carried out by chlorinating the compound of formula 3.
The invention further discloses a process for preparing the polymorph form B of claim 1, comprising the steps of:
a) reacting in a solvent mixture of thionyl chloride, dichloromethane and dimethylformamide to substitute the starting quinazolinamine compound of formula 3 having a hydroxyl group chlorinated,
to provide a compound of
formula 4;
b) in situ from the starting material of the compound of formula 5 by reacting the compound of formula 5 under heating in a suspension of an alkali metal and a solvent
Preparing a compound of formula 6;
c) reacting the compound of formula 6 in situ with a compound of formula 4, wherein the compound of formula 6 replaces the chlorine in the compound of formula 4 to provide N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride;
d) recrystallization of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride in alcohol gives the form B polymorph.
In this process, the chlorine substitution may be quenched in the presence of an aqueous sodium hydroxide solution, an aqueous sodium bicarbonate solution, an aqueous potassium hydroxide solution, an aqueous potassium bicarbonate solution, an aqueous potassium carbonate solution, an aqueous sodium carbonate solution, or a mixture thereof.
The present invention still further discloses a process for the preparation of the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride by recrystallization, which comprises the steps of:
a) heating and refluxing alcohol, water and N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride to form a solution;
b) cooling the solution to about 65-70 ℃;
c) allowing the solution to settle; and
d) the form B polymorph is precipitated by further cooling the clear solution.
The invention further discloses a composition consisting essentially of the form a polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, wherein said form a polymorph is characterized by the following peaks in the X-ray powder diffraction pattern shown in figure 1.
Also disclosed are compositions consisting essentially of the form A polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, wherein said form A polymorph is characterized by the peaks shown in Table 1 or 2 below.
Prodrugs of any of the compounds herein are also disclosed.
The invention further discloses a method of inducing differentiation of tumor cells in a tumor, the method comprising contacting the cells with an effective amount of any one of the compounds or compositions disclosed herein.
Also disclosed is a method for treating NSCLC (non-small cell lung cancer), pediatric malignancies, cervical and other tumors caused or facilitated by Human Papillomavirus (HPV), melanoma, Barrett's esophagus (pre-malignant syndrome),adrenal and skin cancers and autoimmune diseases, neoplastic skin diseases and atherosclerosis in a mammal which comprises administering to said mammal a therapeutically effective amount of a composition comprising at least one N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine and pharmaceutically acceptable salts thereof in anhydrous and hydrated forms.
The treatment may further comprise palliative or neoadjuvant (neo-adjuvant)/adjuvant monotherapy (monotherapy); or blocking Epidermal Growth Factor Receptor (EGFR).
The method can also be used to treat EGFRvIII expressing tumors.
The method may further comprise a combination with any of chemotherapy and immunotherapy; or treating with either or both of anti-EGFR and anti-EGF antibodies simultaneously; or administering to said mammal a compound selected from the group consisting of MMP (matrix-metallo-protease), VEGFR (vascular endothelial growth factor receptor), farnesyl transferase, CTLA4(cytotoxic T-lymphocyte antigen 4) and inhibitors of erbB2, MAb of VEGFr, rhuMAb-VEGF, erbB2MAb and avb3 Mab.
The pharmaceutical compounds used may be radiosensitizers for cancer treatment or for combination with anti-hormone therapy or for inhibiting the growth of human tumors in a radiation treatment regimen.
The invention further discloses a method for chemoprevention of basal cell carcinoma or squamous cell carcinoma in the skin of regions exposed to sunlight or for chemoprevention of a human at high risk for said carcinoma, which comprises administering to said human a therapeutically effective amount of a pharmaceutical composition comprising at least one N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine and pharmaceutically acceptable salts thereof in anhydrous and hydrate form.
Also disclosed are methods of inducing differentiation of tumor cells in a tumor, comprising contacting said cells with at least one N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine compound and anhydrous and hydrate forms of pharmaceutically acceptable salts thereof.
Accordingly, it is an object of the present invention to provide a process for preparing N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride (formula 2) in the form of its hydrochloride salt:
2 (polymorphs a and B) make them more suitable for tablet and oral administration and consist essentially of the stable polymorph (polymorph form B), and substantially pure forms of the compound in the form of the polymorph form B and the intermediate polymorph form a.
It is a further object of the present invention to provide the stable polymorph form B in the form of an orally administered pharmaceutical composition.
The stability of the hydrochloride salt should be considered for therapeutic use in patients, since differences in this regard will affect the effective dosage level and the mode of administration. It has now been found that the hydrochloride salt of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine exists in two polymorphic states, polymorph a and B. This is in contrast to the mesylate compound, which exists in three polymorphic states (mesylate polymorph A, B and C). The polymorph form B of the hydrochloride salt has been found to be the most thermodynamically stable and desirable form, and the present invention includes a polymorph form B compound in the form of a substantially pure polymorph form B, pharmaceutical compositions, particularly in tablet form, of a substantially pure polymorph form B, and alternative processes for preparing the compound.
The hydrochloride salt compound disclosed in U.S. patent 5,747,498 actually contains a mixture of the a polymorph and B, and is not preferred over the mesylate form for tablet dosage forms because of its partial reduction in stability (i.e., due to the a polymorph component).
In particular, the present invention relates to a process for the preparation of the compound N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride form, and a process for the preparation of stable form B in high yield. It has been found that the mesylate salt of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine has at least three polymorphic forms with increased stability identified as A, B and CWith different X-ray powder diffraction patterns. Hydrochloride salt form A polymorph (A)1And A2) And B (B)1And B2) The X-ray powder diffraction pattern of form (A) is shown in FIGS. 1-4 below: the spectra of fig. 1 and 3 illustrate the first peaks of a and B, respectively, to a greater extent, and the spectra of fig. 2 and 4 illustrate a and B, respectively, to a lesser extent, in greater detail.
The data in the X-ray powder diffraction patterns of FIGS. 1-4 above are set forth in tables 1-4 below:
table 1: polymorph form A
Anode: cu-wavelength 1: 1.54056 wavelength 2: 1.54439(Rel Strength: 0.500)
Range # 1-Coupled (Coupled:) 3.000-40.000 stages (StepSize): 0.040 grade
(StepTime):1.00
Flat Width (smoothening Width): 0.300 threshold: 1.0
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
15.82794
|
100.0
|
6.63179
|
1.7
|
4.54453
|
4.8
|
3.61674
|
8.2
|
2.91238
|
3.5
|
14.32371
|
3.9
|
5.84901
|
2.1
|
4.19685
|
4.7
|
3.50393
|
9.3
|
2.73148
|
3.7
|
11.74376
|
1.5
|
5.69971
|
2.3
|
4.16411
|
4.4
|
3.40200
|
6.0
|
2.60193
|
1.8
|
11.03408
|
1.2
|
5.46922
|
2.4
|
3.97273
|
4.7
|
3.35174
|
5.3
|
2.48243
|
1.3
|
10.16026
|
1.4
|
5.21396
|
3.6
|
3.91344
|
12.4
|
3.29005
|
4.2
|
2.40227
|
2.2
|
8.98039
|
13.1
|
4.80569
|
3.5
|
3.78223
|
24.2
|
3.05178
|
7.1
|
2.31297
|
1.7
|
7.85825
|
7.8
|
4.70077
|
12.2
|
3.67845
|
8.8
|
2.97750
|
3.0
| | |
Table 2: polymorph form A
Anode: cu-wavelength 1: 1.54056 wavelength 2: 1.54439(Rel Strength: 0.500)
Range # 1-coupled: 3.000-40.000 stages: 0.040 stage: 1.00
Flat width: 0.300 threshold: 1.0
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
5.579
|
100.0
|
13.340
|
1.7
|
19.517
|
4.8
|
24.594
|
8.2
|
30.673
|
3.5
|
6.165
|
3.9
|
15.135
|
2.1
|
21.152
|
4.7
|
25.398
|
9.3
|
32.759
|
3.7
|
7.522
|
1.5
|
15.534
|
2.3
|
21.320
|
4.4
|
26.173
|
6.0
|
34.440
|
1.8
|
8.006
|
1.2
|
16.193
|
2.4
|
22.360
|
4.7
|
26.572
|
5.3
|
36.154
|
1.3
|
8.696
|
1.4
|
16.991
|
3.6
|
22.703
|
12.4
|
27.080
|
4.2
|
37.404
|
2.2
|
9.841
|
13.1
|
18.447
|
3.5
|
23.502
|
24.2
|
29.240
|
7.1
|
38.905
|
1.7
|
11.251
|
7.8
|
18.862
|
12.2
|
24.175
|
8.8
|
30.007
|
3.0
| | |
Table 3: polymorph form B
Anode: cu-wavelength 1: 1.54056 wavelength 2: 1.54439(Rel Strength: 0.500)
Range # 1-coupled: 3.000-40.040 grades: 0.040 stage: 1.00
Flat width: 0.300 threshold: 1.0
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
d(A)
|
I(rel)
|
14.11826
|
100.0
|
5.01567
|
2.5
|
3.86656
|
4.8
|
3.23688
|
0.9
|
2.74020
|
1.7
|
11.23947
|
3.2
|
4.87215
|
0.7
|
3.76849
|
2.3
|
3.16755
|
1.5
|
2.69265
|
1.7
|
9.25019
|
3.9
|
4.72882
|
1.5
|
3.71927
|
3.0
|
3.11673
|
4.3
|
2.58169
|
1.5
|
7.74623
|
1.5
|
4.57666
|
1.0
|
3.63632
|
6.8
|
3.07644
|
1.4
|
2.51043
|
0.8
|
7.08519
|
6.4
|
4.39330
|
14.4
|
3.53967
|
10.0
|
2.99596
|
2.1
|
2.47356
|
1.0
|
6.60941
|
9.6
|
4.28038
|
4.2
|
3.47448
|
3.7
|
2.95049
|
0.9
|
2.43974
|
0.6
|
5.98828
|
2.1
|
4.20645
|
14.4
|
3.43610
|
3.9
|
2.89151
|
1.6
|
2.41068
|
1.1
|
5.63253
|
2.9
|
4.06007
|
4.7
|
3.35732
|
2.8
|
2.83992
|
2.2
|
2.38755
|
1.4
|
5.22369
|
5.5
|
3.95667
|
4.5
|
3.31029
|
5.6
|
2.81037
|
2.4
|
2.35914
|
1.7
|
Table 4: polymorph form B
Anode: cu-wavelength 1: 1.54056 wavelength 2: 1.54439(Rel Strength: 0.500)
Range # 1-coupled: 3.000-40.040 grades: 0.040 stage: 1.00
Flat width: 0.300 threshold: 1.0
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
2-Theta
|
I(rel)
|
6.255
|
100.0
|
17.668
|
2.5
|
22.982
|
4.8
|
27.534
|
0.9
|
32.652
|
1.7
|
7.860
|
3.2
|
18.193
|
0.7
|
23.589
|
2.3
|
28.148
|
1.5
|
33.245
|
1.7
|
9.553
|
3.9
|
18.749
|
1.5
|
23.906
|
3.0
|
28.617
|
4.3
|
34.719
|
1.5
|
11.414
|
1.5
|
19.379
|
1.0
|
24.459
|
6.8
|
29.000
|
1.4
|
35.737
|
0.8
|
12.483
|
6.4
|
20.196
|
14.4
|
25.138
|
10.0
|
29.797
|
2.1
|
36.288
|
1.0
|
13.385
|
9.6
|
20.734
|
4.2
|
25.617
|
3.7
|
30.267
|
0.9
|
36.809
|
0.6
|
14.781
|
2.1
|
21.103
|
14.4
|
25.908
|
3.9
|
30.900
|
1.6
|
37.269
|
1.1
|
15.720
|
2.9
|
21.873
|
4.7
|
26.527
|
2.8
|
31.475
|
2.2
|
37.643
|
1.4
|
16.959
|
5.5
|
22.452
|
4.5
|
26.911
|
5.6
|
31.815
|
2.4
|
38.114
|
1.7
|
It will be appreciated that the X-ray powder diffraction pattern is but one of many ways to identify the atomic arrangement of the compound comprising N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, and that other methods known in the art, such as single crystal X-ray diffraction, may be used to identify samples, compositions or other articles in which the B-form polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride is present.
The present invention relates to a compound of the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride exhibiting an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 6.26, 12.48, 13.39, 16.96, 20.20, 21.10, 22.98, 24.46, 25.14 and 26.91. The invention also relates to the polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride which exhibits an X-ray powder diffraction pattern having characteristic peaks at 2-theta degrees approximately as expressed in the values of Table 4 above.
The present invention is directed to a compound of the form a polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride that exhibits an X-ray powder diffraction pattern having characteristic peaks expressed in degrees 2-theta at approximately 5.58, 9.84, 11.25, 18.86, 22.70, 23.50, 24.18, 24.59, 25.40 and 29.24. The invention also relates to the polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride which exhibits an X-ray powder diffraction pattern having characteristic peaks at 2-theta degrees approximately as expressed in the values of Table 2 above. Preparation method
According to the process of the present invention, the substantially pure polymorph form B of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride (the compound of formula 1) is prepared by the following steps:
1) as a substituted chlorinated quinazoline amine compound having a hydroxyl group (formula 3) by performing a reaction in a solvent mixture of thionyl chloride, dichloromethane and dimethylformamide:
finally the reaction is quenched with aqueous sodium hydroxide or sodium bicarbonate. Substitution of chlorine for hydroxyl in high yieldPreparing a compound of formula 4;
2) starting from a compound of formula 5 by reacting the compound of formula 5 under heating in a suspension of NaOH (or KOH, or a combination thereof) in toluene
Preparing a compound of formula 6;
3) reacting the compound of formula 6 with the compound of formula 4 in step 1, wherein the compound of formula 6 replaces chlorine in the compound of formula 4, to give N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride (the compound of formula 2) in 97% yield;
4) recrystallization of the compound of formula 2 (containing the a form polymorph and the B form polymorph) in a solvent containing an alcohol (e.g., 2B-ethanol) and water generally yields a more stable B formpolymorph in high yield, e.g., about 85%.
Accordingly, the present invention relates to a process for the preparation of the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride which comprises recrystallising N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) 4-quinazolinamine hydrochloride in a solvent comprising alcohol and water. In one embodiment, the method comprises the steps of: heating and refluxing alcohol, water and N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride to form a solution; cooling the solution to about 65-70 ℃; allowing the solution to settle; the form B polymorph is precipitated by further cooling the clear solution. In one embodiment, the alcohol is ethanol. In a preferred embodiment, the ratio of ethanol to water is 4: 1. Other lower alcohols such as C are contemplated1-C4Alcohols are also suitable for recrystallization of the form B polymorph, with the ratio of alcohol to water being adjusted as desired. In anotherIn a preferred embodiment, the compound to be recrystallized is present in an amount of about 0.05 (weight/volume) of the total volume of the solvent. In one embodiment, N- (3-ethynylbenzene is prepared by coupling a compound of formula 6 with a compound of formula 4Yl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride. In another embodiment, the compound of formula 6 is prepared by reacting the compound of formula 5 under heating in a suspension of an alkali metal and a solvent.
In one embodiment, the compound of formula 4 is prepared by reacting the compound of formula 3 in a solvent mixture of thionyl chloride, dichloromethane and dimethylformamide to chlorinate it, followed by quenching the reaction with aqueous sodium hydroxide. Or an aqueous sodium bicarbonate solution may be substituted for the sodium hydroxide solution.
The present invention relates to the N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride polymorph form B prepared by the above method. In one embodiment, the polymorph form B is prepared from the starting materials described herein. In a preferred embodiment, the polymorph form B is prepared by reacting the starting materials described herein with the reagents and conditions described in the methods described herein and in the examples that follow. General Synthesis
It has been found that N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride exists in two different anhydrous polymorphic forms, form a and B. The preparation of the various polymorphs is carried out by reacting the ingredients separately according to the following schemes.Applications of
As described in the above-mentioned U.S. patent No. 5,747,498 and PCT WO 99/55683, the compounds according to the present invention may be used for the treatment of proliferative diseases in mammals, comprising a therapeutically effective amount of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride or mesylate and a pharmaceutically acceptable carrier.
The term "compound of the invention" as used herein is preferably the form B polymorph of the hydrochloride salt N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, but is not meant to exclude the mesylate salt form or its three polymorphs, or its hydrochloride form a polymorph, or a mixture of its hydrochloride forms B and a polymorph, or other non-crystalline forms of the compound.
The term "treating" as used herein, unless otherwise indicated, means reversing, alleviating, inhibiting the disease or disorder to which the term applies, or preventing the disease or disorder, or one or more symptoms of the disease or disorder. The term "treatment" as used herein refers to the action of treatment (treating), wherein the treatment is as defined herein before.
As used herein, "abnormal cell growth" refers to growth that is independent of normal cellular regulatory mechanisms (e.g., loss of contact inhibition), which includes abnormal growth of normal cells and growth of abnormal cells. It includes, but is not limited to, the following abnormal growths: (1) tumor cells (tumors), including benign and malignant, expressing the active Ras tumor gene; (2) tumor cells (tumors), both benign and malignant, in which the Ras protein is activated due to an oncogenic mutation of another gene; (3) other proliferative diseases of benign and malignant cells, in which abnormal Ras activation occurs. Examples of such benign proliferative diseases are psoriasis, benign prostatic hypertrophy, Human Papilloma Virus (HPV) and restenosis. As used herein, "abnormal cell growth" also includes abnormal growth of cells, including benign and malignant, due to activation of the following enzymatic enzymes, nisin transferase, protein kinase, protein phosphatase, lipid kinase, lipid phosphatase, or transcription factors, or activation of intracellular or cell surface receptor proteins.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably a stable B-type polymorph, and additionally for the treatment of a variety of other human tumors containing hyperproliferative cells activated by EGFR-stimulated signaling pathways, whether EGFR protein itself is overexpressed (e.g., due to one or more altered transcription, altered mRNA degradation, or gene expansion), using another receptor protein EGFR, a ligand that activates EGFR (e.g., EGF, TGF α, amphiregulin, β -animal cellulose, heparin-bound EGF, or epiregulin, or heterodimeric receptor, or is dependent or partially dependent on EGFR protein "normal" level activity, whether activation is by extracellular ligand, intracellular signaling pathway and/or genetic alteration, or a polymorph that results in increased or ligand-dependent activity of anal substitutions (e.g., RvIII, Clin, and/or genetic alterations), including renal cell lymphoma, esophageal adenocarcinoma, pancreatic adenocarcinoma, renal cell lymphoma, pancreatic adenocarcinoma, prostate adenocarcinoma, bladder adenocarcinoma, prostate adenocarcinoma.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable polymorph form B, is additionally useful in the treatment of a variety of other human proliferative disorders in mammals which contain hyperproliferative cells activated by signal transduction pathways capable of being stimulated by EGFR, such as benign hyperplasia of the skin (e.g., psoriasis) or prostate (e.g., BPH), chronic pancreatitis, or hyperplasia of pancreatic duct epithelial cells, renal disorders (including proliferative glomerulonephritis and diabetes-induced renal disorders), wherein the composition contains a therapeutically effective amount of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, preferably the polymorph form B, and a pharmaceutically acceptable carrier.
In addition, a composition comprising a compound prepared according to the present invention, wherein the composition comprises a therapeutically effective amount of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride, preferably the polymorph form B, and a pharmaceutically acceptable carrier, provides prophylaxis of blast transplantation in mammals.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably a stable B-type polymorph, is additionally useful for the treatment of other diseases in which cells are activated by EGFR-stimulated signal transduction pathways, whether by overexpression of EGFR protein itself (e.g., due to one or more altered transcription, altered mRNA degradation, or gene expansion), which can form heterodimers using another receptor protein, or which activate a ligand for EGFR (e.g., EGF, TGF α, amphiregulin, β -animal cellulose, heparin-bound EGF, or epiregulin), or which is dependent or partially dependent on the "normal" level of EGFR protein, whether activation is by extracellular ligands, intracellular signal transduction pathways, and/or genetic alterations, or which is a polymorph, which results in amino acid substitutions that produce increased or ligand-dependent activity (e.g., EGFR RvIII, Archer G.E. 1999) Clinical pathways and/or genetic alterations, or which results in the proliferation of cells involved in the proliferation of epithelial cells which are involved in the regeneration of epithelial cells, proliferation of epithelial cells which are involved in the proliferation of epithelial cell proliferation, cell proliferation of epithelial cell proliferation, cell proliferation of epithelial cell proliferation, cell proliferation of epithelial cell type III, tumor cell proliferation of lung, tumor cell proliferation of epithelial cell type III, tumor cell proliferation of lung, tumor cell proliferation of lung tumor, tumor cell proliferation of lung tumor, tumor cell proliferation of lung tumor, kidney tumor cell proliferation of lung tumor, and lung tumor, tumor cell proliferation of lung.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable polymorph form B, is additionally useful for the treatment of various leukemias (chronic and acute) and lymphoid malignancies (e.g., lymphocytic lymphoma), diabetes and other retinopathies, such as retinophay or prematurity, age-related macular degeneration, childhood solid tumors, gliomas, hemangiomas, melanomas, including intraocular or uveal melanoma, Kapos's sarcoma, Hodgkin's disease, epidermoid carcinoma, cancers of the endocrine system (e.g., parathyroid carcinoma, adrenal gland carcinoma), small bone (bonemall intestine) carcinoma, urinary tract carcinoma, penile carcinoma, and ureter carcinoma, atherosclerosis, skin diseases such as eczema and scleroderma, mycoses (mycoses) fungoides, soft tissue sarcomas, and central nervous system tumors (e.g., primary CNS lymphoma, spinal tumors, brain stem glioma, or pituitary adenoma).
The treatment of any of the above hyperproliferative or other diseases may employ monotherapy of [6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable form B polymorph thereof, and may involve one or more other drugs or treatments (e.g. radiation therapy, chemotherapy) in addition to it which are anti-hyperproliferative, anti-tumour or anti-proliferative in nature. Such combination therapy may be achieved by the simultaneous, sequential, cyclic or divided dose administration of the therapeutic homogeneous ingredients. For any of the above treatments, [6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable form B polymorph thereof, is typically used at a dose of 1-7000 mg/day, preferably 5-2500 mg/day, most preferably 5-200 mg/day.
Also, various types of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamines, including the mesylate and hydrochloride forms (all polymorphs) as well as other pharmaceutically acceptable salt forms and anhydrate and hydrate forms, can be used to treat specific disorders of NSCLC (non-small cell lung cancer), pediatric malignancies, cervical cancer, and other tumors caused or facilitated by Human Papilloma Virus (HPV), melanoma, Barrett's esophageal tumor (pre-malignant syndrome), adrenal and skin cancers, and autoimmune and skin tumor diseases such as mold fungi, as well as basic chemopreventionor cutaneous squamous cell carcinoma, particularly in areas exposed to sunlight or in persons known to be at high risk for, e.g., cancer. In addition, the above compounds are useful in the treatment of atherosclerosis, which has an epidermal growth factor implicated in the hyperproliferation of vascular smooth muscle cells that can cause atherosclerotic plaques (G.E. Peoples et al, Proc. Nat. Acad. Sci. USA 92: 6547-.
The compounds of the present invention are potent inhibitors of the erbB family of oncogenic and proto-oncogenic (protooncogenic) protein tyrosine kinases, such as Epidermal Growth Factor Receptor (EGFR), erbB2, HER3, or HER4, and are therefore suitable for therapeutic use as antiproliferative (e.g. anticancer) agents in mammals, particularly humans. The compounds of the present invention are also inhibitors of angiogenesis and/or vasculogenesis.
The compounds of the present invention may also be useful in the treatment of a variety of other diseases in which a variety of aberrantly expressed ligand/receptor interactions or activation or signaling events associated with a variety of protein tyrosine kinases are implicated. These diseases may include diseases involving aberrant function, expression, activation or signalling of erbB tyrosine kinase neurons, glia, astrocytes, hypothalamus, glands, macrophages, epithelium, stroma or blastocoel properties. In addition, the compounds of the invention may have therapeutic utility in inflammatory, angiogenic and immune diseases involving identified and unidentified tyrosine kinases that are capable of being inhibited by the compounds of the invention.
These generalities are in addition to the direct treatment of the above-mentioned diseases with the compoundsCan be used as a palliative or neoadjuvant/adjuvant monotherapy in blocking Epidermal Growth Factor Receptor (EGFR), for the treatment of tumors expressing EGFR variants knownas EGFRvIII (e.g., DKMOSCATELO et al, Cancer Res. 55: 5536-5539, 1995), and in combination with chemotherapy and immunotherapy. As described in more detail below, the treatment may also be combined with anti-EGFR and anti-EGF antibodies, or with inhibitors of: MMP (matrix-metallo-protease), other tyrosine kinases including VEGFR (vascular endothelial growth factor receptor), farnesyl transferase, CTLA4(cytotoxic T-lymphocyte antigen 4), and erbB 2. Further treatments include mabs to VEGFr, and other cancer-associated antibodies, which include rhuMAb-VEGF (Genentech, stage III), erbB2Mab under the trade name Herceptin (Genentech, stage III), or avb3 Mab under the trade name Vitaxin (Applied Molecular Evolution/medimmunee, stage II).
The invention is also directed to a pharmaceutical composition and method of treating any of the foregoing in a mammal comprising administering to said mammal a therapeutically effective amount of the form B polymorph of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine, preferably the hydrochloride salt, and a pharmaceutically acceptable carrier. Combination therapy
The active compounds may be used as monotherapy or may be combined with one or more substances or therapeutic agents such as anti-EGFR and anti-EGF antibodies, or with inhibitors of: MMP (matrix-metallo-protease), other tyrosine kinases including VEGFR (vascular endothelial growth factor receptor), farnesyl transferase, CTLA4(cytotoxic T-lymphocyte antigen 4), and erbB2, as well as mabs to VEGFr, and other related antibodies, including rhuMAb-VEGF, erbB2Mab, or avb 3.
Thus, the active compound may be used together with one or more other anti-neoplastic agents, for example selected from, for example, mitotic inhibitors, such as vinblastine; alkylating agents such as cisplatin, carboplatin, and cyclophosphamide; antimetabolites, for example 5-fluorouracil, cytarabine and hydroxyurea, or one of the preferred antimetabolites, for example as disclosed in European patent application 239362, such as N- (5- [ N- (3, 4-dihydro-2-methyl-4-oxoquinazolin-6-ylmethyl) -N-methylamino]-2-thenoyl) -L-glutamic acid; a growth factor inhibitor; a cell cycle inhibitor; insertion antibiotics, such as doxorubicin and bleomycin; enzymes, such as interferon; and anti-hormonal agents, e.g. anti-estrogens such as tamoxifen (D (tamoxifen), or e.g. anti-androgens such as carvedilol (4 '-cyano-3- (4-fluorophenylsulphonyl) -2-hydroxy-2-methyl-3' - (trifluoromethyl) propionylaniline).
In a further embodiment, in the methods of treatment with the compositions described herein, the compounds of the present invention may be used in combination with one or more anti-angiogenic agents, such as one or more MMP-2 (matrix-metallo-protease-2) inhibitors, one or more MMP-9 (matrix-metallo-protease-9) inhibitors, and/or one or more COX-II (cyclooxygenase II) inhibitors. For combination therapy with the compositions of the present invention, one of ordinary skill in the art can determine the effective amount of a compound of the present invention and chemotherapy or other agents used to inhibit abnormal cell growth (e.g., other antiproliferative agents, antiangiogenic agents, signal transduction inhibitors, or immune system enhancing agents) based on the effective amounts of the compounds described herein and those known or described compounds. The dosage form and route of administration of these therapeutic agents and compositions can be determined based on the information described for the compositions and medicaments containing the compounds of the present invention as the sole active ingredient and the information provided for the chemotherapeutic or other agents combined therewith.
The present invention also relates to the production of compounds for use in a method of treating a hyperproliferative disease in a mammal comprising administering to said mammal a therapeutically effective amount of N- (3-ethynylphenyl) -6, 7-bis (2-methoxyethoxy) -4-quinazolinamine hydrochloride in combination with an anti-neoplastic agent selected from the group consisting of: mitotic inhibitors, alkylating agents, antimetabolites, intercalating antibiotics, growth factor inhibitors, cell cycle inhibitors, enzymes, topoisomerase inhibitors, biological response modifiers, anti-hormones, and anti-androgens.
The compounds may also be used as radiosensitizers for cancer therapy and may be combined with anti-hormone therapy. Parameters for adjuvant radiation therapy are disclosed, for example, in PCT/US99/10741, published 25.11.1999, International publication No. WO 99/60023, the disclosure of which is incorporated herein by reference. For this type of treatment, for example for the purpose of inhibiting tumor growth, a radiation dose of 1-100 Gy is used, preferably in combination with at least 50mg of the pharmaceutical compound, with a preferred dosage regimen of at least 5 days per week for 2-10 weeks. Thus, the present invention further relates to a method for inhibiting abnormal cell growth in a mammal, which comprises administering to the mammal an amount of a compound of the present invention, or a pharmaceutically acceptable salt, solvate or prodrug thereof, in combination with radiation therapy, wherein the amount of the compound, salt, solvate or prodrug in combination with the radiation therapy is effective to inhibit abnormal cell growth in the mammal. Techniques for the administration of radiation therapy are well known to those of ordinary skill in the art and may be used for the combination therapies described herein.
In the methods and pharmaceutical compositions described herein, anti-angiogenic agents such as MMP-2 (matrix-metallo-protease-2) inhibitors, MMP-9 (matrix-metallo-protease-9) inhibitors, and COX-II (cyclooxygenase II) inhibitors may be used in combination with the compounds of the present invention. Examples of useful COX-II inhibitors include CELEBREXM (alecoxib), valdecoxib, and rofecoxib. Examples of useful matrix-metallo-protease inhibitors are disclosed in the following patents: WO 96/33172 (published 24/10/1996), WO 96/27583 (published 7/3/1996), European patent application No.97304971.1 (published 8/7/1997), European patent application No.99308617.2 (published 29/10/1999), WO 98/07697 (published 26/2/1998), WO98/03516 (published 29/1/1998), WO 98/34918 (published 13/8/1998), WO 98/34915 (published 13/8/1998), WO 98/33768 (published 6/8/1998), WO 98/30566 (published 16/7/1998), European patent application 606,046 (published 13/7/1994), European patent application 931,788 (published 28/7/1999), WO90/05719 (published 331/1990), WO 99/52910 (published 21/10/1999), WO 99/52889 (published 21/1999), WO 99/29667 (published 17.6.1999), PCT International application No. PCT/IB98/01113 (filed 21.7.1998), European patent application No.99302232.1 (filed 25.3.1999), British patent application No. 9912961.1 (filed 3.3.1999), U.S. provisional application No. 60/148,464 (filed 12.8.1999), U.S. patent 5,863,949 (approved 26.26.1.1999), U.S. patent 5,861,510 (granted 19.1.19.1999), and European patent publication No. 780,386 (published 25.6.1997), all of which are incorporated herein by reference. Preferred MMP-2 and MMP-9 inhibitors are those that have little or no activity for inhibiting MMP-1. More preferred are those that selectively inhibit MMP-2 and/or MMP-9 relative to other matrix-metallo-proteases (i.e., MMP-1, MMP-3, MMP-4, MMP-5, MMP-6, MMP-7, MMP-8, MMP-10, MMP-11, MMP-12, and MMP-13).
Some specific examples of MMP inhibitors useful in the present invention are AG-3340, RO 32-3555, RS 13-0830, and the compounds listed below:
3- [ [4- (4-fluoro-phenoxy) -benzenesulfonyl]- (1-hydroxycarbamoyl-cyclopentyl) -amino]-propionic acid;
3-exo-3- [4- (4-fluoro-phenoxy) -benzenesulfonylamino]-8-oxa-bicyclo [3.2.1]octane-3-carboxylic acid hydroxyamide;
(2R, 3R)1- [4- (2-chloro-4-fluoro-benzyloxy) -benzenesulfonyl]-3-hydroxy-3-methyl-piperidine-2-carboxylic acid hydroxyamide;
4- [4- (4-fluoro-phenoxy) -benzenesulfonylamino]-tetrahydropyran-4-carboxylic acid hydroxyamide;
3- [ [4- (4-fluoro-phenoxy) -benzenesulfonyl]- (1-hydroxycarbamoyl-cyclobutyl) -amino]-propionic acid;
4- [4- (4-chloro-phenoxy) -benzenesulfonylamino]-tetrahydropyran-4-carboxylic acid hydroxyamide;
(R)3- [4- (4-chloro-phenoxy) -benzenesulfonylamino]-tetrahydropyran-3-carboxylic acid hydroxyamide;
(2R, 3R)1- [4- (4-fluoro-2-methyl-benzyloxy) -benzenesulfonyl]-3-hydroxy-3-methyl-piperidine-2-carboxylic acid hydroxyamide;
3- [ [4- (4-fluoro-phenoxy) -benzenesulfonyl]- (1-hydroxycarbamoyl-1-methyl-ethyl) -amino]-propionic acid;
3- [ [4- (4-fluoro-phenoxy) -benzenesulfonyl]- (4-hydroxycarbamoyl-tetrahydropyran-4-yl) -amino]-propionic acid;
3-exo-3- [4- (4-chloro-phenoxy) -benzenesulfonylamino]-8-oxa-bicyclo [3.2.1]octane-3-carboxylic acid hydroxyamide;
3-endo-3- [4- (4-fluoro-phenoxy) -benzenesulfonylamino]-8-oxa-bicyclo [3.2.1]octane-3-carboxylic acid hydroxyamide; and
(R)3- [4- (4-fluoro-phenoxy) -benzenesulfonylamino]-tetrahydrofuran-3-carboxylic acid hydroxyamide;
and pharmaceutically acceptable salts and solvates of said compounds.
Other anti-angiogenic agents, including other COX-II inhibitors and other MMP inhibitors, may also be used in the present invention.
The compounds of the invention may also be used with signal transduction inhibitors, such as drugs that inhibit the EGFR (epidermal growth factor receptor) response, such as EGFR antibodies, EGF antibodies, and other molecules that are EGFR inhibitors; VEGF (vascular endothelial growth factor) inhibitors, such as VEGF receptors and molecules that inhibit VEGF; and erbB2 receptor inhibitors, e.g. other organic molecules or antibodies that bind to the erbB2 receptor, e.g. HERCEPTINTM(Genentech,Inc.of South SanFrancisco,California,USA)。
EGFR inhibitors are disclosed, for example, in the following documents: WO95/19970 (published 27/7/1995), WO 98/14451 (published 9/4/1998), WO 98/02434 (published 22/1/1998), and other compounds described in U.S. Pat. No. 5,747,498 (granted 5/1998), which may be used in the invention described herein. EGFR inhibitors include, but are not limited to, monoclonal antibody C225 and anti-EGFR 22Mab (Imclone systems incorporated of New York, New York, USA), compound ZD-1839(AstraZeneca), BIBX-1382(Boehringer Ingelheim), MDX-447 (Mediarex of Annalale, New Jersey, USA), and OLX-103(Merck&Co. of Whitehouse State, New Jersey, USA), VRCTC-310(Ventech Research) and EGF fusion toxins (Seragen incorporated of Hopkinton, Massachusetts). These and other EGFR inhibitors may be used in the present invention.
VEGF inhibitors, such as SU-5416 and SU-6668(Sugen Inc. of South san Francisco, Calif., USA) may also be combined with the compounds of the present invention. VEGF inhibitors are disclosed, for example, in the following documents: for example, WO 99/24440 (published 20/5/1999), PCT International application PCT/IB99/00797 (filed 3/5/1999), WO 95/21613 (published 17/8/1995), WO 99/61422 (published 2/12/1999), US patent 5,834,504 (granted 10/11/1998), WO 98/50356 (published 12/11/1999), US patent 5,883,113 (granted 16/1999), US patent 5,886,020 (granted 23/3/1999), US patent 5,792,783 (granted 11/1998), WO99/10349 (published 4/1999), WO 97/32856 (published 12/1997), WO 97/22596 (published 26/1997 6/1998), WO 98/54093 (published 3/1998), WO 98/02438 (published 22/1/1998), WO 99/16755 (published 4/1999), And WO 98/02437 (published on 22/1/1998), all of which are incorporated herein by reference. Other examples of some specific VEGF inhibitors for use in the present invention are IM862(Cytran inc. of Kirkland, Washington, USA); genentech's anti-VEGF monoclonal antibody, inc. of South San Francisco, California; and angiozyme, a synthetic ribozyme from a ribozyme source (Boulder, Colorado) and Chiron (Emeryville, California). These and other EGFR inhibitors may be used in the present invention.
ErbB2 receptor inhibitors, such as GW-282974(Glaxo Wellcome plc) and monoclonal antibodies AR-209(Aronex Pharmaceuticals Inc. of The Woodlands, Texas, USA) and 2B-1(Chiron) can be further combined with The compounds of The present invention, such as those disclosed in: WO 98/02434 (published 22/1/1998), WO 99/35146 (published 15/7/1999), WO 99/35132 (published 15/7/1999), WO 98/02437 (published 22/1/1998), WO 97/13760 (published 17/4/1997), WO95/19970 (published 27/7/1998), U.S. Pat. No. 5,587,458 (granted 24/12/1996), U.S. Pat. No. 5,877,305 (granted 2/3/1999), the entire contents of which are incorporated herein by reference. ErbB2 receptor inhibitors useful in the present invention are also disclosed in U.S. provisional application 60/117,341 (filed 1/27/1999) and U.S. provisional application 60/117,346 (filed 1/27/1999), both of which are incorporated herein by reference. In accordance with the present invention, the erbB2 receptor inhibitor compounds and substances described in the above-mentioned PCT applications, U.S. patents, and U.S. provisional applications, as well as other compounds and substances capable of inhibiting the erbB2 receptor, may be used in combination with the compounds of the present invention.
The compounds of the present invention may be used in combination with other drugs for the treatment of abnormal cell growth or cancer, including but not limited to: drugs capable of enhancing anti-tumor immune responses, such as CTLA4 (cytotoxic lymphocyte antigen 4) antibodies and other drugs capable of blocking CTLA 4; and antiproliferative agents such as farnesyl protein transferase inhibitors. Specific CTLA4 antibodies that can be used in the present invention include those described in us provisional application 60/113,647 (filed 12/23 of 1998), which is incorporated herein by reference in its entirety, although other CTLA4 antibodies can also be used in the present invention.
These combinations may be achieved by treatment with the individual compounds at simultaneous, sequential or separate doses.
It is contemplated that the compounds of the present invention may render abnormal cells more susceptible to radiation therapy to better kill and/or inhibit the growth of these cells. Accordingly, the present invention further relates to a method of sensitizing abnormal cells in radiation therapy in a mammal comprising administering to the mammal an amount of a compound of the present invention, a pharmaceutically acceptable salt or solvate or prodrug thereof, wherein the amount is sufficient to sensitize the abnormal cells to the radiation therapy. The dosage of the compounds, salts or solvates or prodrugs thereof described in this method can be determined according to the method described herein for determining an effective dosage of the compounds of the invention.
The subject of the invention is also isotopically-labelled compounds, which are identical to those recited above for the present invention, but for the fact that one or more atoms are replaced by an atom having an atomic mass and mass number different from the atomic mass and mass number usually found in practice. Examples of isotopes that can be incorporated into compounds of the invention include hydrogen, carbon, nitrogen and oxygen, respectivelyIsotopes, e.g. of2H、3H、13C、14C、15N、18O and17and O. Compounds of the invention containing the aforementioned isotopes and/or other isotopes of other atoms, as well as pharmaceutically acceptable salts of such compounds, are also within the scope of the invention. Certain isotopically-labelled compounds of the present invention, e.g. radioactive isotopes13C and14c incorporated thereinThese may be used for drug and/or substrate tissue distribution detection. Tritium (i.e. tritium3H) And14c is particularly preferred because of its ease of preparation and detection. And, by heavier isotopes such as deuterium (i.e. by deuterium)2H) Instead, certain therapeutic advantages may be obtained due to higher metabolic stability, such as increased half-life or reduced dosage requirements, and thus may be preferred in some instances. Isotopically-labeled compounds of the present invention can be prepared by employing the procedures of the present invention and/or the procedures described in the examples below, except that readily available isotopically-labeled reagents are substituted for non-isotopically-labeled reagents using procedures well known in the art. Accordingly, the compounds of the invention for use in the methods of treatment and pharmaceutical compositions described herein also include isotopically-labeled forms of the compounds.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable polymorph form B, is typically used in a dose of 1-7000 mg/day, preferably 5-2500 mg/day, more preferably 5-200 mg/day in any of the above treatments.
Patients that may be treated with the compounds of the invention, alone or in combination, include, for example, patients diagnosed with: psoriasis, BPH, lung, bone, pancreatic, skin, head and neck, skin or intraocular melanoma, ovarian, rectal, anal region, stomach, colon, breast, gynecological (e.g., uterine sarcoma, fallopian tube, endometrial, cervical, vaginal, or vulval), Hodgkin's disease, esophageal, small intestine, endocrine (e.g., thyroid, parathyroid, or adrenal), soft tissue sarcoma, urinary tract, penile, prostate, chronic or acute leukemia, solid tumor in childhood, lymphocytic lymphomas, bladder, kidney or ureter (e.g., renal cell carcinoma, renal pelvis), or central nervous system (e.g., primary CNS lymphoma, spinal axis, brain stem glioma, or pituitary adenoma. active melanoma)
The in vitro activity of the compounds of the invention in inhibiting receptor tyrosine kinases (and thus subsequent proliferative diseases) can be determined by the following methods:
in vitro activity of the compounds of the invention was determined by measuring the phosphorylation inhibition of exogenous substrates of tyrosine (e.g., Lys 3-gateway or polyGluTyr (4: 1) random copolymer (I.Posner et al, J.biol.chem.267(29), 20638-47(1992)) by epidermal growth factor receptor kinase in comparison to controls affinity purified, soluble human EGF receptor (96 ng) was prepared from A431(American Type Culture Collection, Rockville, Md.) by the method of G.N.Gill, W.Weber in Enzymoloay 146, 82-88(1987)In the presence of phosphate buffer + vanadate (PBV: 50mM HEPES, pH 7.4; 125mM NaCl; 24mM MgCl)2(ii) a 100 μ M sodium orthovanadate) in a total volume of 10 μ l at room temperature for 20-30 min. Test compounds dissolved in dimethyl sulfoxide (DMSO) were diluted with PBV, 10. mu.l were mixed with EGF receptor/EGF mixture and incubated at 30 ℃ for 10-30 minutes. By adding 20. mu.l to the EGFr/EGF mixture33P-ATP/substrate mixture (120. mu.M Lys3-Gastrin (one letter sequence numberof amino acid KKKGPWLEEEEEAYGWLDF), 50mM Hepes pH7.4, 40. mu.M ATP, 2. mu. Ci. gamma. -, 233P]ATP) and incubation at room temperature for 20 min. The reaction was stopped by adding 10. mu.l of a stop solution (0.5M EDTA, pH 8; 2mM ATP) and 6. mu.l of 2N HCl. The tube was centrifuged at 14,000 RPM for 10 minutes at 4 ℃. 35 μ L of supernatant was pipetted from each tube onto a 2.5cm circle of Whatman P81 paper, washed four times with 1L each in 5% acetic acid and dried. This results in binding of the substrate to the paper due to removal of ATP in the wash. Determination of bound by liquid scintillation counting33P]. The relative values were calculated by subtracting the binding value without substrate (e.g., lys3-gastrin) from all values as backgroundPercent inhibition over control (no test compound). These assays, performed over a range of test compound doses, can determine the approximate IC of EGFR kinase activity inhibition in vitro50。
Other methods for determining the activity of the compounds of the present invention are described in U.S. Pat. No. 5,747,498, the disclosure of which is incorporated herein by reference. Pharmaceutical composition
The pharmaceutical compositions are most preferably in a form suitable for oral administration as tablets, capsules, pills, powders, sustained release dosage forms, solutions and suspensions, for example. The compositions are less preferred (the mesylate salt is preferred form) in the form of parenteral injections as sterile solutions, suspensions or emulsions, topical administration as ointments or emulsions, rectal administration as suppositories. The pharmaceutical composition may be in unit dosage form suitable for single dose administration of precise dosages. The pharmaceutical compositions will include conventional pharmaceutically acceptable carriers or excipients and the compounds according to the invention as active ingredients. In addition, it may include other drugs or agents, carriers, adjuvants, etc.
Parenteral administration forms which may be practiced include solutions or suspensions of the active compound in sterile aqueous solution, for example, propylene glycol aqueous solution or dextrose solution. The dosage form may be suitably buffered if desired.
Suitable pharmaceutical carriers include inert diluents or fillers, water and various organic solvents. The pharmaceutical composition may contain other ingredients such as flavoring agents, binders, excipients, and the like, if necessary. Thus, for oral administration, tablets may be employed which contain various excipients such as citric acid, disintegrating agents such as starch, alginic acid and certain complex silicates, and binding agents such as sucrose, gelatin and acacia. In addition, lubricants such as magnesium stearate, sodium lauryl sulfate and talc are also commonly used in tablets. Solid compositions of similar form may also be used with soft and hard filled gelatin capsules. Thus, preferred materials include lactose or milk sugar and high molecular weight polyethylene glycols. When aqueous suspensions or elixirs are desired for oral administration of the compounds of the invention, they may contain various sweetening agents, flavoring agents, coloring agents or dyes, and if desired emulsifying agents or suspending agents, together with diluents such as water, ethanol, propylene glycol, glycerin or combinations thereof. In addition, the compounds of the present invention may be administered topically and may be formulated as creams, gels, ointments, salves, etc. in accordance with standard pharmaceutical practice.
The compounds of the present invention may also be administered to mammals other than humans. The dosage to be administered to the mammal is determined according to the species of animal or the disease or condition to be treated. The compounds can be administered to the animal in the form of capsules, boluses, tablets, or liquid drenches. The compounds can also be administered to animals by injection or implantation. These dosage forms are prepared according to standard veterinary procedures. Alternatively, the compound may be administered with animal feed, for which purpose a feed additive or additive premix may be prepared for mixing with conventional animal feed.
Methods for preparing a variety of pharmaceutical compositions containing specific amounts of active compounds will be readily apparent to those of ordinary skill in the art. See, for example, Remington's Pharmaceutical Sciences, Mack Publishing Company, Easter, Pa., 15th Edition (1975). Administration and dosage
The compounds of the present invention (hereinafter "active compounds") can be effectively administered by any method that is capable of delivering the compound to the active site. These methods preferably include oral routes of administration, such as in tablets, intraduodenal routes, parenteral injection (including intravenous, subcutaneous, intramuscular, intravascular or infusion solutions), topical and rectal administration. The hydrochloride salt form B polymorph is preferably administered orally, although parenteral administration is generally preferred.
The amount of active compound administered will be determined by the patient being treated, the severity of the disease or condition, the rate of administration and the judgment of the prescribing physician. However, for single or divided doses, the effective dosage range is about 0.001-100mg/kg body weight/day, preferably about 1-35mg/kg day. For a 70kg human, the dosage is about 0.05-7 g/day, preferably about 0.2-2.5 g/day. In some instances, dosage levels below the lower limit of the aforesaid range are effective, while in other instances, higher doses may be employed without adverse effects,provided that the higher dose is initially divided into several small doses for administration throughout the day.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable form B polymorph, may be used to treat patients (experimentally determined, e.g. to increase survival time) by combination therapy at a dose of 1-7000 mg/day, preferably 5-2500 mg/day, most preferably 5-200 mg/day, e.g. NSCLC (IIIb/V) with carboplatin/paclitaxel or gemcitabine/cisplatin as first line (1)stline), NSCLC (IIIb/V) as a second line treatment for head and neck cancer with taxotere, and methotrexate as a second line treatment for patients with 5 FU/cisplatin that are refractory to control.
[6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, preferably the stable form B polymorph, at a dose of 1-7000 mg/day, preferably 5-2500 mg/day, most preferably 5-200 mg/day may also be used for the treatment of other conditions, including pancreatic cancer, with or without combination therapy with gemcitabine, as first line treatment for the following diseases: renal cancer, gastric cancer, prostate cancer, colorectal cancer (e.g., as second line therapy for patients who fail 5FU/LCV/Irinotecan therapy), hepatocellular cancer, bladder cancer, brain cancer, ovarian cancer, breast cancer, and cervical cancer. For these treatments, patients with disease whose condition is difficult to control can be readily treated effectively by increasing response time, increasing time to progression or increasing survival time.
For any of the above treatments, [6, 7-bis (2-methoxyethoxy) quinazolin-4-yl]- (3-ethynylphenyl) -amine hydrochloride, the preferably stable form B polymorph, is typically used at a dose of 1-7000 mg/day, preferably 5-2500 mg/day, most preferably 5-200 mg/day.
The examples and preparations provided belowfurther illustrate the compounds of the present invention and methods of preparing these compounds. The present invention can be better understood by the following experiments thereof. It will be apparent to those of ordinary skill in the art that these specific methods and results of the discussion are merely illustrative of the invention, which is defined in more detail by the claims that follow.